| Anesthesia for pediatric laparoscopic cholecystectomy. | |
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MedLine Citation:
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PMID: 1389197 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report the general anesthetic events and clinical concerns encountered with a laparoscopic cholecystectomy in a 19-month-old toddler. Carbon dioxide was insufflated to create a pneumoperitoneum, with resulting intra-abdominal pressures ranging from 5 to 11 mmHg. The end-tidal partial pressure of carbon dioxide (PETCO2) rose as high as 48 mmHg (a 10 mmHg increase from baseline), requiring a 68% increase in minute ventilation to achieve preinsufflation values. Careful monitoring of ventilation, PETCO2, and intra-abdominal pressure are recommended for optimal anesthetic management of the pediatric laparoscopic cholecystectomy patient. |
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Authors:
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M T Walsh; T R Vetter |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of clinical anesthesia Volume: 4 ISSN: 0952-8180 ISO Abbreviation: J Clin Anesth Publication Date: 1992 Sep-Oct |
Date Detail:
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Created Date: 1992-11-25 Completed Date: 1992-11-25 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8812166 Medline TA: J Clin Anesth Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 406-8 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, Children's Hospital Medical Center, Akron, OH 44308. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia, Inhalation* Anesthesia, Intravenous* Atracurium Carbon Dioxide Cholecystectomy, Laparoscopic* Cholelithiasis / surgery Humans Infant Isoflurane Male Pneumoperitoneum, Artificial Thiopental |
| Chemical | |
Reg. No./Substance:
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124-38-9/Carbon Dioxide; 26675-46-7/Isoflurane; 64228-79-1/Atracurium; 76-75-5/Thiopental |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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